title: Visceral larva migrans presenting as multiple liver abscesses.
abstract: Eosinophilic necrotizing granulomas in the liver, known as visceral larva migrans (VLM), are a rare cause of liver abscesses. The term VLM refers to infections in human tissues caused by the larval stages of ascarid worms of dogs and cats. We report two cases of VLM which presented with high grade fever and abdominal pain for 3-4 months. Marked peripheral eosinophilia, multiple confluent perivenous lesions in the right lobe of liver with characteristic migratory tracts on imaging and biopsy evidence of necrotizing eosinophilic granulomas led to the diagnosis. Complete recovery was achieved with repeated courses of a combination of anthelmintics.
authors.affiliation: Professor and Head, Department of Hepatology, Christian Medical College Hospital, Vellore, Tamilnadu 632004, India. jeyapati@yahoo.com.
authors.forename: Jeyamani
authors.initials: J
authors.lastname: Ramachandran
authors.forename: Anuradha
authors.initials: A
authors.lastname: Chandramohan
authors.forename: Sajith Kattiparambil
authors.initials: SK
authors.lastname: Gangadharan
authors.forename: L S
authors.initials: LS
authors.lastname: Unnikrishnan
authors.forename: Leena
authors.initials: L
authors.lastname: Priyambada
authors.forename: Anna
authors.initials: A
authors.lastname: Simon
mesh_terms: D000328:Adult; D000871:Anthelmintics / Q000627:therapeutic use; D002648:Child; D005260:Female; D006801:Humans; D007816:Larva Migrans, Visceral / Q000175:diagnosis* / Q000188:drug therapy; D008100:Liver Abscess / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000871:Anthelmintics
keywords: Visceral larva migrans; anthelmintics; eosinophilia; granulomas; liver abscesses